MEDICARE: ELIZABETH THOMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA7807	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942346739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH THOMAS

Provider Business Mailing Address
First Line	:	1645 E HWY 50 STE 202
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-5199
Country	:	US
Telephone Number	:	408-580-3084
Fax Number	:	407-295-4195

Provider Business Practice Location Address
First Line	:	1645 E HWY 50 STE 202
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-5199
Country	:	US
Telephone Number	:	408-580-3084
Fax Number	:	407-295-4195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	12/31/2007

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Directions to “ ELIZABETH THOMAS ” Practice Location

Language	Start Address	Practice Location

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